Creative Aging II Teaching Artist Roster Interest Form

Applying as:*

Is your programming offered:*

Virtually only
In-person only
Both

Where do you as an individual artist or your nonprofit organization work (check all that apply):*

West
Middle
East

Individual

Name*

First Last

Address*

Street Address Address Line 2 City ZIP Code

Daytime Phone Number*

Email*

Enter Email Confirm Email

County of Residence*

Please indicate your primary ethnicity/race:*

Upload a PDF Resume*

Accepted file types: pdf, Max. file size: 50 MB.

Primary arts discipline/form:*

Visual
Crafts
theater
literary arts/writing
music
dance
folk arts
storytelling
Other

Please check all that apply.

Please describe what type of art:

Years as an artist in Tennessee?*

Are you currently on the TN Arts Commission’s Teaching Artist Roster?*

Do you currently provide arts programming to older adults?*

If applicable, are you currently volunteering or receiving fees to provide arts programming/classes at a nonprofit? If yes, please name that organization and give a brief description of the arts activities/classes/workshops that you provide. How long have you provided this arts programming?*

What do you hope to gain from attending this training?*

Nonprofit

Name of organization*

Name

Address*

Street Address Address Line 2 City ZIP Code

Website*

County of organization’s physical location*

What counties does the organization serve with its arts programming?*

Name, title, and contact info of staff people who will attend the training*

(only 2 staff people are allowed)

For the first staff person, please indicate their primary ethnicity/race:*

For the second staff person, please indicate their primary ethnicity/race:

Upload a PDF resume and job description of each person:*

Drop files here or

Max. file size: 50 MB, Max. files: 4.

Primary arts discipline/form that your organization provides.*

Visual
Crafts
theater
literary arts/writing
music
dance
folk arts
storytelling
Other

Please check all that apply.

Please describe what type of art:

Do your organization currently provide arts programming to older adults?*

Is your organization currently on the TN Arts Commission’s Teaching Artist Roster?*

What does your organization hope to gain from this training? How will the organization use this training?*

Comments

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